4217 Rahn Rd - Inspection FormCity of Eago
Residential Sanitary. Sewer Service
Compliance Inspection
NNW
Date 71 ! I ki?
Name
Time _ •
7? #
HD Number
House Number
Alternative Mailing Address
Com liance
No foundation drain connection
No roof drain connection
o Sump pit not connected to
sanitary sewer
O Sump pump properly piped
CNo sump pump
Transition J ,w)
4" to 6" Transition:
White Copy: Property Owner
I
Street Name
Owner /Occupant Signature
am
pm
For information call 651A70.2788
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral lnspectio� Number of stacks %i 1 Entered S..L.at
Roots f .. 1 i /f' , , f
PoorPipeJoints
Mineral Deposits
7 Sagl,Pipe Deflection (: . I •_) .__...
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Obstruction
Inspector Signature
, lf�inal Cleanout:
/8 r _r--
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH
:
Correctly
Discharged
N otes
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
City of Eago
Residential Sanitary. Sewer Service
Compliance Inspection
NNW
Date 71 ! I ki?
Name
Time _ •
7? #
HD Number
House Number
Alternative Mailing Address
Com liance
No foundation drain connection
No roof drain connection
o Sump pit not connected to
sanitary sewer
O Sump pump properly piped
CNo sump pump
Transition J ,w)
4" to 6" Transition:
White Copy: Property Owner
I
Street Name
Owner /Occupant Signature
am
pm
For information call 651A70.2788
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral lnspectio� Number of stacks %i 1 Entered S..L.at
Roots f .. 1 i /f' , , f
PoorPipeJoints
Mineral Deposits
7 Sagl,Pipe Deflection (: . I •_) .__...
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Obstruction
Inspector Signature
, lf�inal Cleanout:
/8 r _r--
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH